Individual
MR. LUIS VINCENT LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9300 CAMPUS POINT DR, LA JOLLA, CA 92037-1300
(915) 873-5552
Mailing address
9025 SYDNEY CT UNIT 12302, SAN DIEGO, CA 92122-1624
(915) 873-5552
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95376007
CA
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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